IKECHUKWU OKECHUKWU
NPI 1649786138
Nurse Practitioner - Family in Maplewood, MN

Active since December 19, 2017PECOS EnrolledAccepts Medicare Assignment
1577 LEGACY PKWY E UNIT 2, MAPLEWOOD, MN 55109(651) 302-6715 Get Directions Write a Review

NPPES record last updated: September 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2024, Dec 19, 2017 (2 updates tracked since 2017).

About Ikechukwu Okechukwu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IKECHUKWU OKECHUKWU (NPI 1649786138) is an individual family provider in Maplewood, Minnesota, licensed in Minnesota (5598) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649786138
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameIKECHUKWU OKECHUKWU
Location Address1577 LEGACY PKWY E UNIT 2Maplewood, MN 55109-5416
Mailing Address1577 Legacy Pkwy E Unit 2Maplewood, MN 55109-5416
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 19, 2017
Last NPPES UpdateSeptember 22, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2024
NPI 1649786138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 5598
1577 LEGACY PKWY E UNIT 2, Maplewood, MN 55109

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ikechukwu Okechukwu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426318965
PECOS Enrollment IDI20250210001772
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ikechukwu Okechukwu's NPI number?

The NPI number for Ikechukwu Okechukwu is 1649786138. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Ikechukwu Okechukwu located?

Ikechukwu Okechukwu practices at 1577 Legacy Pkwy E Unit 2, Maplewood, MN 55109. The listed phone number is (651) 302-6715.

What is Ikechukwu Okechukwu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ikechukwu Okechukwu enrolled in Medicare?

Yes. Ikechukwu Okechukwu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ikechukwu Okechukwu accept?

Health plans from Medica list Ikechukwu Okechukwu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ikechukwu Okechukwu was last updated on September 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.